1. Monitoring approaches for health-care workers during the COVID-19 pandemic
- Author
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Marion Koopmans, Xavier Duval, Julia Bielicki, Nina Gobat, Evelina Tacconelli, Sylvie van der Werf, Herman Goossens, St George's, University of London, University Children's Hospital [Basel, Switzerland]], AP-HP - Hôpital Bichat - Claude Bernard [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord, University of Oxford, Vaccine & Infectious Disease Institute [Antwerp, Belgium] (VAXINFECTIO), University of Antwerp (UA), Erasmus University Medical Center [Rotterdam] (Erasmus MC), Università degli studi di Verona = University of Verona (UNIVR), Génétique Moléculaire des Virus à ARN - Molecular Genetics of RNA Viruses (GMV-ARN (UMR_3569 / U-Pasteur_2)), Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), Centre National de Référence des virus des infections respiratoires (dont la grippe) - National Reference Center Virus Influenzae [Paris] (CNR - laboratoire coordonnateur), Institut Pasteur [Paris] (IP), and Virology
- Subjects
Health Personnel ,[SDV]Life Sciences [q-bio] ,Pneumonia, Viral ,Guidelines as Topic ,030204 cardiovascular system & hematology ,Health Services Accessibility ,Article ,Betacoronavirus ,03 medical and health sciences ,Return to Work ,0302 clinical medicine ,Occupational Exposure ,Environmental health ,Pandemic ,Health care ,Hajj ,Humans ,Infection control ,Medicine ,030212 general & internal medicine ,Pandemics ,Risk management ,Infection Control ,Risk Management ,SARS-CoV-2 ,business.industry ,Staff management ,COVID-19 ,Middle East Respiratory Syndrome Coronavirus, Coronavirus Infections, Hajj ,3. Good health ,Infectious Diseases ,Harm ,Workforce ,Middle East Respiratory Syndrome Coronavirus ,Human medicine ,business ,Coronavirus Infections - Abstract
Health-care workers are crucial to any health-care system. During the ongoing COVID-19 pandemic, health-care workers are at a substantially increased risk of becoming infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and could come to considerable harm as a result. Depending on the phase of the pandemic, patients with COVID-19 might not be the main source of SARS-CoV-2 infection and health-care workers could be exposed to atypical patients, infected family members, contacts, and colleagues, or live in communities of active transmission. Clear strategies to support and appropriately manage exposed and infected health-care workers are essential to ensure effective staff management and to engender trust in the workplace. These management strategies should focus on risk stratification, suitable clinical monitoring, low-threshold access to diagnostics, and decision making about removal from and return to work. Policy makers need to support health-care facilities in interpreting guidance during a pandemic that will probably be characterised by fluctuating local incidence of SARS-CoV-2 to mitigate the impact of this pandemic on their workforce.
- Published
- 2020